The relationships between employment, clinical status, and psychiatric hospitalisation in patients with schizophrenia receiving either IPS or a conventional vocational rehabilitation programme

Kilian, Reinhold; Lauber, Christoph; Kalkan, Rana; W, Dorn; Rössler, Wulf; Wiersma, Durk; Buschbach, Jooske T. van; Fioritti, Angelo; Томов, Тома; Catty, Jocelyn; Burns, Tom; Becker, Thomas

doi:10.1007/s00127-011-0451-z

Cited by 46 publications

(62 citation statements)

References 27 publications

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“…Thus, the independence-competence factor was significantly higher in participants with jobs compared to those who were unemployed. Our results therefore tie in with those stating that measurements of social functioning are stronger in this respect than those which assess symptomatology exclusively (Giugiario et al, 2012;Kilian et al, 2012;McGurk & Mueser, 2004;Ramsay, Stewart & Compton, 2012).…”

Section: Discussionsupporting

confidence: 89%

Cognitive and Social Functioning Correlates of Employment Among People with Severe Mental Illness

Saavedra

López

González

et al. 2015

Community Ment Health J

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A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. We assess how social and cognitive functioning is associated to gaining employment for 213 people diagnosed with severe mental illness taking part in employment programs in Andalusia (Spain). We used the Repeatable Battery for the Assessment of Neuropsychological Status and the Social Functioning Scale and conducted two binary logistical regression analyses. Response variables were: having a job or not, in ordinary companies (OCs) and social enterprises (SEs), and working in and OC or not. There were two variables with significant adjusted odds ratios for having a job: "attention" and "Educational level". There were five variables with significant odds ratiosfor having a job in an OC: "Sex", "Educational level", "Attention", "Communication", and "Independence-competence". The study looks at the possible benefits of combining employment with support and social enterprises in employment programs for these people and underlines how both social and cognitive functioning are central to developing employment models.

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Section: Discussionsupporting

confidence: 89%

Cognitive and Social Functioning Correlates of Employment Among People with Severe Mental Illness

Saavedra

López

González

et al. 2015

Community Ment Health J

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show abstract

“…Researchers variously defined employment by days worked (Mueser et al, 1997;Lam and Rosenheck, 2000;Torrey et al, 2000;Twamley et al, 2008;Burns et al, 2009;Xie et al, 2010;Kilian et al, 2012;Drake et al, 2013); weeks worked (Kukla et al, 2012); earned income (Bond et al, 2001); and proportion of study followup periods worked (Bush et al, 2009;McHugo et al, 2012). Over half of the analyses reported unadjusted non-vocational outcome data for each follow-up period (7 of 12), probably because these reports were secondary data analyses.…”

Section: Methodological Differencesmentioning

confidence: 97%

“…Seven of the twelve analyses, or five of eight cohorts, used data from vocational intervention trials, where joblessness despite interest in employment was a criterion for inclusion (i.e., percent employed at baseline = 0%) (Mueser et al, 1997;Torrey et al, 2000;Bond et al, 2001;Twamley et al, 2008;Burns et al, 2009;Kilian et al, 2012;Kukla et al, 2012). Among the remaining cohorts, the competitive employment rate at baseline ranged from 6% to 23% (see Table 1).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The median follow-up period was 18 months (range = 12 to 120 months). The client population varied greatly across the cohorts, including people with co-occurring disorders (Bush et al, 2009;Xie et al, 2010;McHugo et al, 2012), people early in the course of illness (Drake et al, 2013), people with severe mental illness over 45 years of age (Twamley et al, 2008), and people with significant illness-related impairments in functioning (i.e., severe mental illness) (Mueser et al, 1997;Lam and Rosenheck, 2000;Torrey et al, 2000;Bond et al, 2001;Twamley et al, 2008;Burns et al, 2009;Xie et al, 2010;Kilian et al, 2012;Kukla et al, 2012;McHugo et al, 2012). Participants were recruited from community mental health centers in the US (Mueser et al, 1997;Torrey et al, 2000;Bond et al, 2001;Twamley et al, 2008;Bush et al, 2009;Xie et al, 2010;Kukla et al, 2012;McHugo et al, 2012) and abroad (Burns et al, 2009;Kilian et al, 2012), emergency departments (Drake et al, 2013), as well as emergency shelters, outdoors, and public or abandoned buildings (Lam and Rosenheck, 2000).…”

Section: Study Selectionmentioning

confidence: 99%

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Does employment alter the course and outcome of schizophrenia and other severe mental illnesses? A systematic review of longitudinal research

Luciano

Bond

Drake

2014

Schizophrenia Research

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“…When differences on non-vocational outcomes have been identified, they have been small [20] or possibly due to baseline differences and resultant regression to the mean [42]. Nevertheless, some suggest that IPS can positively affect nonvocational outcomes because of its association with increased rates of CE, which has been associated, in turn, with improved non-vocational outcomes [43].…”

Section: Supported Employmentmentioning

confidence: 99%

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Leddy¹,

Stefanovics²,

Rosenheck

2014

J Rehabil Res Dev

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Abstract-Supported employment, specifically individual placement and support (IPS), improves competitive employment (CE) rates for individuals with serious mental illness, but has not shown greater improvement in non-vocational outcomes than other rehabilitation approaches. The Department of Veterans Affairs offers two types of vocational services, IPS and transitional work experience (TWE), but no study has compared the effectiveness of these approaches. This secondary analysis of data from a study of homeless veterans compared 6 mo improvement in diverse outcomes for five employment patterns: never worked, worked only in TWE, worked in TWE followed by CE, worked in CE without IPS, and worked in CE with IPS referral. Veterans referred to IPS were more likely to be competitively employed. Those who worked in CE (whether following TWE or with or without IPS referral) showed the greatest increase in days worked, employment income, and total income and the greatest decrease in public support income when compared with those who worked only in TWE or not at all. Veterans in TWE showed the greatest increase in residential treatment days, but there were no other differences in nonvocational outcomes between groups. There are multiple paths to CE, but few differences in non-vocational outcomes across employment experiences.

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The relationships between employment, clinical status, and psychiatric hospitalisation in patients with schizophrenia receiving either IPS or a conventional vocational rehabilitation programme

Cited by 46 publications

References 27 publications

Cognitive and Social Functioning Correlates of Employment Among People with Severe Mental Illness

Cognitive and Social Functioning Correlates of Employment Among People with Severe Mental Illness

Does employment alter the course and outcome of schizophrenia and other severe mental illnesses? A systematic review of longitudinal research

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

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